Clinical Rheumatology

, Volume 23, Issue 4, pp 355–357

A case of anti-Jo1 myositis with pleural effusions and pericardial tamponade developing after exposure to a fermented Kombucha beverage

Case Report

DOI: 10.1007/s10067-004-0890-y

Cite this article as:
Derk, C.T., Sandorfi, N. & Curtis, M.T. Clin Rheumatol (2004) 23: 355. doi:10.1007/s10067-004-0890-y

Abstract

The pathogenesis of the idiopathic inflammatory myopathies has been postulated to be an environmental trigger causing the expression of the disease in a genetically predisposed patient. We report a case of anti-Jo1 antibody-positive myositis which was associated with pleural effusions, pericardial effusion with tamponade, and ‘mechanic’s hands’, probably related to the consumption of a fermented Kombucha beverage. Kombucha ‘mushroom’, a symbiosis of yeast and bacteria, is postulated to be the trigger for our patient’s disease owing to the proximity of his symptoms to the consumption of the Kombucha beverage.

Keywords

Anti-Jo1AntisynthetaseKombucha Myositis

Abbreviations

ALT

Alanine transferase

AST

Aspartate aminotransferase

CPK

Creatinine phosphokinase

Copyright information

© Clinical Rheumatology 2004

Authors and Affiliations

  • Chris T. Derk
    • 1
  • Nora Sandorfi
    • 1
  • Mark T. Curtis
    • 2
  1. 1.Division of RheumatologyThomas Jefferson University HospitalPhiladelphiaUSA
  2. 2.Department of PathologyThomas Jefferson University HospitalPhiladelphiaUSA